Permit CI TY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
r ' COMMUNITY DEVELOPMENT PERMIT #: ELR2008 - 00094
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 4/21/2008
PARCEL: 1 S126CA - 00100
SITE ADDRESS: 09225 SW HALL BLVD ZONING:
SUBDIVISION: LOT: JURISDICTION: TIG
PROJECT: LAROG JEWELERS
Project Description: Installing Fire and Security low voltage systems.
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATA/TELE COMM: NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: X OUTDOOR LANDSC LITE:
OTHER: • HVAC: PROTECTIVE SIGNAL: X
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS: 2
Owner: Contractor:
BARRY MENASHE WILLAMETTE VALLEY SECURITY
621 SW ALDER STE 605 28101 SW LADD HILL RD
PORTLAND, OR 97205 SHERWOOD, OR 97140
Phone: Contact #: PRI 503- 244 -5273
FAX 503- 625 -6144
FEES Reg #: ELE 3- 370CLE
LIC 96932
Description Date Amount
[ELPRMT] ELR Permit 4/21/2008 $150.00
[TAX] 12% State Surch 4/21/2008 $18.00 REQUIRED ITEMS AND REPORTS
Total $168.00
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these
rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344.
Issued By: % Permittee Signature:
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO:
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Apr21 08 11:07a a - , p.1
Electrical Permit Applicant), FOR OFFICE USE ONLY
City of Tigard rt O Received
1 1- DatdB a/ Permit No.:
13125 SW f ?alI Blv.4„ Tigard, OR 97223 p PR 1 Plan Review U� .� °�s� '!'
Phone: 503.639.4171 Fax: 503.598.1960 P �"*' "' *'q �? ; j "+ , Dah B . Other Permit:
Inspection Line: 503.639.4175 (g. -; - ;1 t Date Rra . Juste. Page 2 for
See P g _�
ag
Internet www.ci.tigard.or.us 0 1 � ,. .‘ I-2, 0 Not fiedlMettrod: Supplemental Information
TYPE O/1
°l v PLAN REVIEW
® New construction 0 Addition/` to ration/replacement Please check all that apply:
Demolition Other. ❑Service over 225 amps, comm'I ['Hazardous location
CAT ORY OF CONSTRUCTION ❑Service over 320 amps - rating ❑ Buildng over 10,000 sq. 8.,
of 1- and 2- family dwellings 4 or more new residential
0 1- and 2- family dwelling Commercial/industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
Other: ❑Building over three stories ❑Feeders, 400 amps or more
❑ Multi - family 0 Master builder
. ❑Occupant load over 99 persons ❑Manufactured structures or
108 SITE INFORMATION AND LOCATION ❑ Egress/lighting plan RV park
Job no.: I Job site address: 7 A 1/ S(i & L,l , ❑B� lu 004 th-ce facility ❑Other.
Submit 2 sets of plans with any of the above_
City /State/ZIP: T` 6 C Q e �wws3t C t 1 u[ The above are not applicable to temporary construction service.
• Suite/bldgJapt. no.: Project name: 1, f e _ r „ ers FEE* SCtI .
el ''+�-`� description I Qtr. ! Fee. L Total I "
Cross street/directions to job site: New residential single- or multi- family dwelling unit.
Includes attached garage-
_ 1,000 sq. It or less 145.15 4
Subdivision: f Lot no.: Ea. add'1 500 sq. ft. or portion _ 33.40 1
Tax map/parcel no.: I Limited energy, residential 75.00 2
. Limited energy, non - residential 7: 2
�
` DESCRIPTION OF WORK �r Each manufactured or modular
1>r� ' )foe 0.rl'�'� ()11 I l / I oil i \ TO / moiling, service and/or feeder 90.90 2
1 r �'- Services or feeders installation, alteration, and/or relocation
200 amps or less 50.30 2
❑ PROPERTY OWNER I ❑ TENANT 201 amps to 400 amps 106.85 2
Name: 401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240.60 2
Address: Over 1,000 amps or volts 454.65 2
Reconnect only 66.85 2
City /Stttte/ZIP: Temporary services or feeders installation, alteration, and/or
Phone: ( ) F ax: ( ) relocation
200 amps or less 66.85 1
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 s to 600
p GPs 133 -75 _ 2
Owner signature: Date: Branch circuits - new, alteration, or extension, per panel
❑ APPLICANT I ❑ CONTACT PERSON A. Fee for branch circuits with
service or feeder fee, each
Business name: branch circuit 6.65 2
13. Fee for branch circuits
Contact name: without service or feeder fee,
Address:
first branch circuit
46.85 2
Each add'1 branch circuit 6.65 2
City/State/ZIP: Miscellaneous (service or feeder not included)
Phone: ( ) `Fax:: ( ) Pump or irrigation circle 53.40 , 2
Sign or outline lighting 53.40 2
E -mail: Signal circuit(s) or limited -
CONTRA OR energy panel, alteration, or 7`,,,1))
extension. Describe: Page 2 Ci t] 2
Business name: ,t11 `C - If A,,1 c�Gily 1 r Ih, .
--
Address: !� I �� f , J Each additional inspection over allowable in any of the above Dg
City/State/ZIP: l p (!t Per inspection 62-50
hlt, /-0 17 / ItQ Investigation per hour (1 hr min) 62.50
Phone: ( 93 ) ts/q t.1- -� F ax: (
�% S 3 5�3 1 ac -lt Industrial plant per hour 73.75
CCB Lic.: I i 1 3 Electrical Lic.: ELECTRICAL PERMIT FEES*
. 7o- S uprv. Lie.:
Subtotal
,yJ /11 „ f SD . 00
Suprv. Elect iciatf t attire, required: Plan review (25% of permit fee)
Print name: .1/41N_ /2-G I Date: ` /is4 s State surcharge (8%of pemmit flee} [y �t� t J Il TOTAL PERMIT FEE Ili J f 'R, 6 0
Authorized signature: . 4 , ,, This permit application expires if a permit is not obtained within 18a
L
days after it has been accepted as complete
Print name:
� 1 � /� Date: � S° i r • Fee methodology set by Tri-County Building Industry Service Board
•' Number of inspections per permit allowed.
i: 1 Bo dding\Permits\ELC- PenrotApp.dec 17,03 440-4615T( I O/U2It DM/WEB
CITY OF TIGARD
BUILDING DIVISION
PERMIT #: ELR2008.00094
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/2112000
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: W6/2008 TIME: 7:00AM PAGE: 47
SITE ADDRESS: 09225 SW HALL BLVD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: LAROG JEWELERS
DESCRIPTION: Installing Fire and Security low voltage systems.
OWNER: MENASHE, BARRY PHONE #:
CONTRACTOR: WILLAMETTE VALLEY SECURITY PHONE #: 5O3244273
Inspection Request Scheduled For: Date: 516/2008 Pour Time:
Code # a • - on Description Confirm # Contact # Message
135 Low voltage 069404-01 503-260-4560 Y
141 fiOftt - RyA0 -
Corrections/ , a - nstructions:
■111...11111.
a t i S■WM
•
•
PASS PARTIAL APPROVAL El CANCEL fl NO ACCESS
7 CALL FOR INSPECTION pi ADDITIONAL FEES ASSESSED
Inspector: (.7 (Ye) ot Date: 6-1). Phone #: (503) 718- 241k
CITY OF TIGARD
•
BUILDING DIVISION PERMIT #: ELR200B -000
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/2i/2008
Phone: (503) 639 -4171 /naN��
Inspection Requests (24 Hrs.): (503) 639 -4175 �
INSPECTION WORKSHEET FOR DATE: 5/5/2008 TIME: 7:01AM PAGE:
SITE ADDRESS: 09225 SW HALL BLVD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: LAROG JEWELERS
DESCRIPTION: Installing Fire and Security low voltage systems.
OWNER: MENASHE, BARRY PHONE #:
CONTRACTOR: WILLAMETTE VALLEY SECURITY PHONE #: 503 -244 -5273
Inspection Request Scheduled For: Date: 5/5/2008 Pour Time:
Code # Inspection Description # Contact # Message
135 Low voltage 069298.01 \ - 03-2445273
•5273 N
Corrections /Comments /Instructions:
W4 ANSw Pa 6 44 4
Y
a 16,N: kZ�cwo \lt Ate. %.A.O.L c keo
vt.v c t ove® i s e a , * 1/4 4 ' rVL b \
7 PASS I PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL 'CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: Vr li()415 L" Date: 6101 Phone #: (503) 718 -14%